Böcker av William Genieys

This book examines the history of the French welfare state from the mid-twentieth century to the present day. The French social security system has changed profoundly over the last few decades. The Bismarkian model of governance and social protection inherited from the Second World War has progressively faded away in favor of a reinforcement of the state's capacity to intervene on policies and the implementation of national health insurance coverage. In order to understand this major transformation, this book draws on rich original sources to offer a historical and sociological perspective on elite policymakers and policy change. In doing so, it identifies correlations between the changing social backgrounds and career paths of elites in charge of social insurance policies since the 1940s, and the development of health policy programs. It will appeal to all those interested in public policy, health policy, social studies and French history and politics.

Discover the hidden forces that shaped one of the most significant health care reforms in US history.In A Government of Insiders, William Genieys traces the winding path from the failed health policy priorities of the Clinton administration to the passage of the Affordable Care Act (ACA). Genieys uncovers the pivotal role of a committed group of unelected governmental elites known as "long-term insiders" who meticulously developed policy ideas and political connections. During George W. Bush's presidency, these insiders reconceptualized the foundations of a far-reaching health coverage reform both within and outside the public sector. When President Obama took office, these insiders returned to positions of power and ensured that their reform vision took center stage. Genieys highlights how these people were instrumental in crafting and passing the ACA by integrating existing programs like Medicare and Medicaid, engaging market forces with an individual mandate and health care marketplaces, and addressing the crucial issue of cost containment. By shedding light on the action of these health coverage policy elites and their role as custodians of the public interest, Genieys challenges traditional assumptions about the influence of economic elites and reveals the positive role of unelected professionals in advancing the common good. A Government of Insiders is a groundbreaking exploration of the unseen forces behind major policy reform, providing a fresh perspective on the dynamics of power in American politics.